Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04601 | Date 06/04/2019 |
| Token No | SM/19-20/430 06/04/2019 | Serial | 058 Last Visit: 06/04/2019 |
| Patient Name | Mr. AJOY KUMER SAHA | Contact No | 9163264186 |
| Address | 63 THAKURDAS BABU LANE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||